HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r RECEIVED
Y° e Building Permit Application OCT 212020
Planning and Development Services St. Lucie Courli
Building and Code Regulation Division Commercial ResidentiUrmitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Roof
Address: 7410 James Road, Fort Pierce, FL 34951
Property Tax ID #: 1301-601-0108-000-9
Site Plan Name: COX
Project Name: COX
Tear off existing shingle roof and install new shingle roof.
New (lectrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Lot No. 9
Block No. 7
(Affidavit required)
Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator, _ Roof 5/12 Pitch
Total Sq. Ft of Construction: 1,816 Sq. Ft. of First Floor:
Cost of Construction: $ 15,350.00 Utilities: —Sewer —Septic Building Height: 15'
Name Barry C. Cox
Address: 7410 James Road
city: Fort Pierce state: FL
Zip Code: 34951 Fax:
Phone No. 772-882-5482
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Paul R. Lucas
Company: Lucas Roofing, Inc.
Address: 455 3rd Lane SW
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-778-9457
Phone No 772-567-0625 / 7.72 w V 73 S—V
E-Mail T �tOiISGOPBi�S��01 COS
State or County License CCC1326314
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: TE Schlitt Engineering
_
Name:
Address: 1555 Indian River Blvd., Suite B-145
Address:
City: Vero Beach State: FL
City: State:
Zip: 32960 Phone - -4998
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in. all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with I er or an attorney before commencing work or recording our Notice of Commencement.
Ji nature�6wAer//C ractor as Agent for Owner
STATE, OF FLORIDA
COUNTY OF LW AL
Swo to or affir d subscribed bef r me of Physical Presence or Online Notarization
RR Y
thi l day of 20d�� by
3—S)PAU L �UC',Pt5.
Name of person making statement.
Personally Known OR Produced dentification
Type of Identification P duced
(Signature of Notary Public- State of Flori a )
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`=otoA lei State of Flblic
Commission No. (Seal) ���Yp�i, KARE==222
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ev 5/20/21